Germany-wide evaluation of residency in neurological intensive care medicine.

Autor: Ernst AK; Faculty of Medicine, Ruhr-University Bochum, Universitätsstrasse 150, 44801, Bochum, Germany. ann-kathrin.ernst@ruhr-uni-bochum.de.; Ruhr-University Bochum, Gudrunstrasse 56, 44791, Bochum, Germany. ann-kathrin.ernst@ruhr-uni-bochum.de., Zupanic M; Faculty of Medicine, University Witten/Herdecke, Alfred-Herrhausen-Strasse 45, 58455, Witten, Germany., Ellrichmann G; Faculty of Medicine, Ruhr-University Bochum, Universitätsstrasse 150, 44801, Bochum, Germany.; Department of Neurology, Klinikum Dortmund, Beurhausstrasse 40, 44137, Dortmund, Germany., Biesalski AS; Faculty of Medicine, Ruhr-University Bochum, Universitätsstrasse 150, 44801, Bochum, Germany.; Department of Neurology, St. Josef Hospital, Gudrunstrasse 56, 44791, Bochum, Germany.
Jazyk: angličtina
Zdroj: BMC medical education [BMC Med Educ] 2022 May 12; Vol. 22 (1), pp. 364. Date of Electronic Publication: 2022 May 12.
DOI: 10.1186/s12909-022-03441-4
Abstrakt: Background: Neurointensive medicine is an important subspecialization of neurology. Its growing importance can be attributed to factors such as demographic change and the establishment of new therapeutic options. Part of the neurological residency in Germany is a six-month rotation on an intensive care unit (ICU), which has not yet been evaluated nationwide. The aim of this study was to evaluate kind and feasibility of neurointensive care training in Germany and to discover particularly successful training concepts.
Methods: In a preliminary study, ten residents and ten instructors were interviewed. Using content analysis, two questionnaires were created, which contained questions about specific teaching methods as well as individual satisfaction. The questionnaires were sent to 187 neurological clinics in Germany, and residents and instructors were asked to participate in the study. The data analysis was performed using SPSS and content analysis for the free-text data.
Results: Seventy of the 187 clinics contacted did not offer ICU-rotation. At 59,8% (n = 70) of the remaining hospitals, a total of 154 participants (84 residents, 70 educators) could be recruited. General satisfaction with the neurointensive medical training is high in both groups (residents: 3.34 ± 0.54; instructors: 3.79 ± 0.41, evaluated on the basis of a Likert scale from 1 = "not satisfied" to 5 = "fully satisfied"). Specific teaching methods (e.g. simulation trainings, feedback sessions) are perceived as very useful by residents, but rarely take place. Instructors are interested in educational opportunities such as didactic courses.
Conclusion: This study provides an overview of the ICU-rotation as part of the five-year neurological residency. Neurointensive care rotations usually take place at maximum care hospitals and last at least seven months. Despite frequent time and personnel restrictions, motivation of trainers and residents is high. Nevertheless, teaching methods as simulation training and educational opportunities for instructors must be expanded.
(© 2022. The Author(s).)
Databáze: MEDLINE
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